A TOMATO WAGON? DEFINING AUTOMOBILES UNDER ONTARIO S INSURANCE LEGISLATION. By. Catherine Korte and Anthony Gatensby

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1 A TOMATO WAGON? DEFINING AUTOMOBILES UNDER ONTARIO S INSURANCE LEGISLATION By. Catherine Korte and Anthony Gatensby To the uninitiated, it might seem that defining the word automobile should be a relatively simple matter. Those familiar with the byzantine nature of insurance legislation know better. - Justice Doherty, speaking for the Court of Appeal for Ontario in Copley v. Kerr Farms Ltd. 1 To be entitled to statutory accident benefits under Ontario s no-fault legislation, also known as the SABS, 2 the individual seeking benefits must have been involved in an accident. An accident, under section 3(1) of the SABS, is defined as: an incident in which the use or operation of an automobile directly causes an impairment or directly causes damage to any prescription eyewear, denture, hearing aid, prosthesis or other medical or dental device. This seemingly simple definition is actually extraordinarily complex. For example, what constitutes use or operation of an automobile?; what qualifies as an impairment?; what does it mean for an impairment to be directly caused (which in turn begs the question of what it means for an impairment to be indirectly caused)? Each of these legal terms has generated their own body of case law, both before the Financial Services Commission of Ontario and before the civil court system. This paper will deal with what could be considered the precursor to all of these questions: what is an automobile? While often the answer is so obvious that this question does not arise, decision-makers have struggled with how far the definition could stretch ever since the implementation of no-fault benefits in Ontario. Qualifying a Vehicle as an Automobile: An Overview The SABS was created by the provincial Cabinet pursuant to the Insurance Act. 3 While automobiles are not defined under the SABS itself, Part VI of the Insurance Act (entitled Automobile Insurance ) contains a definition within section 224(1): 224. (1) In this Part, automobile includes, 1 59 O.R. (3d) 346, [2002] O.J. No at para Statutory Accident Benefits Schedule Effective September 1, 2010, O. Reg. 34/10, s. 3(1). 3 Insurance Act, R.S.O. 1990, c. I.8., paragraphs 9 and 10 of subsection 121 (1).

2 (a) a motor vehicle required under any Act to be insured under a motor vehicle liability policy, and (b) a vehicle prescribed by regulation to be an automobile 4 Justice Doherty looked at this section in Copley v. Kerr Farms Ltd. 5 He noted that because the Legislature had chosen to use the word includes rather than means, the Legislature was sending a signal to the courts that the section was meant to expand the ordinary definition of automobiles. 6 Since there is no statute that provides a definition of an automobile, that definition defaults to the common law. The common law three-part test for determining if a vehicle is an automobile under section 224 was set out in the Ontario Superior Court of Justice decision of Grummet v. Federation Insurance Co.: 1. Is the vehicle an automobile in the ordinary parlance? If not, 2. Is the vehicle defined as an automobile in the wording of the insurance policy? If not, 3. Does the vehicle fall within any enlarged definition of automobile in any relevant statute? 7 The Court of Appeal for Ontario recently upheld the use of this three-part test in its 2007 decision of Adams v. Pineland Amusements Ltd. 8 Since this decision, the test has been referred to as the Adams test by the Court. 9 Step 1: The Ordinary Parlance Test The first step of the Adams test is known as the ordinary parlance test. That is to say, it must be determined whether the vehicle in issue is an automobile within the ordinary sense of the word. 10 Justice Somers in Grummett adopted the reasoning of Justice McCart in McFarland v. Storm, 11 in that an automobile, in its ordinary sense, is a vehicle designed for and capable of transportation of passengers on streets and highways. 12 Generally there is little case law that addresses this stage in-depth. The reason is that an automobile, in the ordinary sense of the word, is a restricted term that typically refers to 4 There is also a different definition of automobile under section 1 of the Insurance Act, however, the Court of Appeal in Regele v. Slusarczyk (1997), 33 O.R. (3d) 556, 147 D.L.R. (4th) 294 held that because no-fault benefits fall under Part VI, this is the definition that should prevail. 5 Copley, supra note 1. 6 Copley, supra note 1 at para. 12. Also see R. v. Mansour, [1979] 2 S.C.R. 916, citing Maxwell on Interpretation of Statutes, 12th ed., p (1999), 46 O.R. (3d) 340. This test was originally suggested by Justice Hogg of the Ontario General Division in Bergsma v. Canada, [1994] O.J. No Adams v. Pineland Amusements Ltd., 2007 ONCA See e.g., Rougoor v. Co-Operators General Insurance Co., 2010 ONCA Copley, supra note 1 at para (1998), 28 C.C.L.I. 128 (Ont. Gen. Div.) 12 McFarland, supra note 11 at para. 16.

3 passenger vehicles seen on highways. For example, a truck would obviously be considered an automobile in ordinary parlance. 13 Justice Somers in Grummett accepted that a race car was not in ordinary parlance an automobile, due to the fact that they do not have brake lights, they do not have doors and they carry no passenger except the driver. 14 Mr. Grummett was eventually disentitled to accident benefits. In Morton v. Rabito, 15 the Court of Appeal for Ontario held that a backhoe was not an automobile. Similarly, in Regele v. Slusrczyk, 16 the Court similarly held that a farm tractor was not an automobile. In Copley, the defendant Kerr Farms conceded that a flatbed trailer used to haul tomatoes, which has no motor and is hooked to a transport truck to move, is not in ordinary parlance an automobile. 17 In Rougoor v. Co-Operators General Insurance Co., 18 the plaintiff conceded before the Court of Appeal that her dirt bike was not an automobile in ordinary parlance for the purpose of entitlement to accident benefits. Step 2: Wording of the Insurance Policy If a vehicle is not an automobile in ordinary parlance, then the court will look to whether the vehicle is defined as an automobile in the wording of the insurance policy. Typically, if a vehicle is not an automobile in ordinary parlance, it is not covered by the standard O.A.P. 1. For example, in Motor Vehicle Accident Claims Fund v. Buckle, 19 Ms. Buckle was injured while riding a golf cart as a passenger on a highway. Director s Delegate Evans skipped the first two stages of the Adams test as the parties agreed that the only relevant test is whether it falls within any enlarged definition of automobile in any relevant statute. Director s Delegate Evans clearly felt that golf carts were not automobiles in ordinary parlance, nor would they fall within the scope of statutorily-mandated automobile coverage. Similarly, Justice Somers in Grummett refused any suggestion that the racing car could be considered an automobile within the meaning of the subject policy, 20 and referred to the definition of automobile found in the standard O.A.P. 1: 21 A described automobile (one listed on the certificate of automobile insurance); 22 A newly acquired automobile; See e.g., Life & Casualty Ins. Co. v. Cantrell (1933), 57 S.W. 2d 792 (Sup. Ct. Tenn.); Wiese v. Polzer (1933), 248 N.W. 113 (Sup. Ct. Wisc.); and Combined American Insurance Company v. Ganzer (1961), 350 S.W. 2d 211 (Ct. Civ. App. Tex.). 14 Supra note 11 at para (1998), 42 O.R. (3d) 161, [1998] O.J. No Supra note Copley, supra note 1 at para ONCA [2012] O.F.S.C.D. No. 161, Appeal P (FSCO December 13, 2012), per David Evans, Director s Delegate. 20 Supra note 7 at para O.A.P. 1, s O.A.P. 1, s O.A.P. 1, s

4 A temporary substitute automobile; 24 Other automobiles driven by you, or driven by your spouse, or your samesex partner, who lives with you; 25 and Trailers, in certain circumstances. 26 This stage of the Adams test only arises in unique circumstances in the context of accident benefits. However, an example of where this stage was at issue was the Court of Appeal for Ontario s recent decision in Rougoor v. Co-Operators General Insurance Co. 27 Ms. Rougoor had purchased a policy of automobile insurance with Co-Operators, which listed Ms. Rougoor as the principal driver for an off-road dirt bike (as well as the secondary driver for another off-road dirt bike). While operating her friend s dirt bike in Florida, which happened to be the same make and model as the ones she owned and insured, she was seriously injured. Ms. Rougoor applied to Co-Operators for accident benefits. The question before the Superior Court, and eventually on appeal before the Court of Appeal for Ontario, was whether or not the policy, in covering a dirt bike as a described automobile, expanded the definition in the policy to cover all dirt bikes Ms. Rougoor operated. The Superior Court denied Ms. Rougoor s application for a declaration that she was entitled to benefits. The Court of Appeal, in allowing the appeal and granting the declaration, stated that: It is clear that the appellant's own dirt bike is covered as an "automobile" under the terms of her policy. In our view, the word "automobile" when used in the policy must be given a consistent meaning. As the appellant's dirt bike is an "automobile" for the purpose of coverage under the policy, the dirt bike in Florida must also be considered to be an "automobile" under the terms of the policy. Simply put, the appellant purchased insurance to cover the risk of riding a dirt bike. The policy provided that coverage by treating the dirt bike as an "automobile" and extended coverage for any other "automobile" driven by the appellant in Canada or the United States. 28 If a vehicle is neither an automobile in ordinary parlance, nor falls within the scope of the policy, the Court will then look to see whether the impugned vehicle falls into any statutory definition of automobile. In actions and arbitrations for statutory accident benefits, this stage is by far the most contentious. Step 3: The Enlarged Statutory Definition of Automobile Fitting a vehicle into a statutory definition of an automobile has been nothing short of a logical quagmire for both counsel and the Bench alike. To build on the quote at the beginning of this paper, Justice Doherty in Copley candidly remarked on the bureaucratic nature of the reasoning: To the uninitiated, it might seem that defining the word "automobile" in Part VI of the Insurance Act dealing with automobile insurance should be a relatively 24 O.A.P. 1, s O.A.P. 1, s O.A.P. 1, s Rougoor, supra note Rougoor, supra note 18 at para. 10.

5 simple matter. Those familiar with the byzantine nature of insurance legislation know better. To determine what an automobile is for the purposes of s (1) of the Insurance Act, one must begin with that Act, travel through the Compulsory Automobile Insurance Act, R.S.O. 1990, c. C.25, as amended, and proceed on to the Highway Traffic Act, R.S.O. 1990, c. H.8, as amended. Even then, the meaning is far from obvious. 29 The starting place is section 224(1)(b) of the Insurance Act. This defines an automobile as: a motor vehicle required under any Act to be insured under a motor vehicle liability policy. As stated by Director s Delegate Evans in Buckle, 30 the possible Acts under which insurance may be required of a motor vehicle are the Off-Road Motor Vehicles Act ( ORMVA ) 31 and the Compulsory Automobile Insurance Act ( CAIA ). 32 If a motor vehicle is required to be insured under section 2(1) of the CAIA or section 15(1) of the ORMVA, then it meets the definition of an automobile under section 224(1)(b) of the Insurance Act. Section 15(1) of the ORMVA states that no off-road vehicle shall be operated off a highway unless insured. The ORMVA defines an off-road motor vehicle under section 1 as a vehicle propelled or driven otherwise than by muscular power or wind and designed to travel: (a) on not more than three wheels, or (b) on more than three wheels and being of a prescribed class of vehicle. Prescribed vehicle classes (i.e. vehicles under subsection (b), above) are found in R.R.O. 1990, Regulation 863, section 3: 1. Dune buggies. 1.1 Vehicles designed for use on all terrains, commonly known as all-terrain vehicles, that have steering handlebars and a seat that is designed to be straddled by the driver. 1.2 Vehicles designed for utility applications or uses on all terrains that have four or more wheels and a seat that is not designed to be straddled by the driver. 2. Suzukis, Model Numbers LT125D, LT50E, LT125E, LT185E, LT250EF and LT250EFF. 3. Hondas, Model Numbers FL250 series and TRX Yamahas, Model Number YFM 200N. 29 Copley, supra note 1 at para Buckle, supra note 19 at para Off-Road Vehicles Act, R.S.O. 1990, c. O Compulsory Automobile Insurance Act, R.S.O. 1990, c. C.25.

6 On the other hand, the Regulation also exempts specific vehicles from the ORMVA under section 2 (meaning that they are not required to be insured): 1. Golf carts. 2. Road-building machines. 3. Self-propelled implements of husbandry. 4. Wheelchairs. 5. Off-road vehicles driven or exhibited at a closed course competition or rally sponsored by a motorcycle association. Section 2(1) of the CAIA states that no motor vehicle shall be operated on a highway unless insured. The CAIA adopts the definition of a motor vehicle from the Highway Traffic Act, which includes: an automobile, a motorcycle, a motor-assisted bicycle unless otherwise indicated in this Act, and any other vehicle propelled or driven otherwise than by muscular power, but does not include a street car or other motor vehicle running only upon rails, a power-assisted bicycle, a motorized snow vehicle, a traction engine, a farm tractor, a self-propelled implement of husbandry or a road-building machine. 33 The CAIA therefore only requires motor vehicles as defined in the HTA to be insured while they are operated on a highway. In Beattie and Unifund Assurance Company, 34 Mr. Beattie was injured while operating a Genie Boom Crane in a private parking lot when the ground floor collapsed. A boom crane is fourwheeled, motorized, and has a crane arm for lifting individuals. They are more commonly known as cherry-pickers. The parties requested a ruling from Arbitrator Kelly to determine whether the Genie was an automobile for the purpose of determining entitlement to accident benefits. Arbitrator Kelly was satisfied that the Genie was a motor vehicle under the HTA. This was because the Genie was propelled otherwise than by muscular power. However, a parking lot is not a highway under the HTA, and therefore, is not required to be insured by the CAIA. However, Arbitrator Kelly held that a Genie was an off-road vehicle pursuant to section 3(1.2) of the Regulation, as it was a vehicle designed for utility applications or uses on all terrains that have four or more wheels and a seat that is not designed to be straddled by the driver. While the word utility is not defined, Arbitrator Kelly ascribed the ironic Webster s dictionary definition of the capacity of being useful for some purpose (the irony being that the definition applies so broadly that it is in turn useless). As it was not operating on a highway, the Genie was required to be insured as per section 15(1) of the ORMVA. According to the FSCO decision database, this decision is currently under appeal to a Director s Delegate. 33 Highway Traffic Act, R.S.O. 1990, c H.8, s. 1(1). 34 Arbitration A (FSCO September 30, 2014), per Michael Kelly, Arbitrator.

7 In Buckle, Ms. Buckle was injured when, as a passenger, she fell off a golf cart that was being driven on a highway. Not having a policy of automobile insurance available, she applied to the Motor Vehicle Accident Claims Fund. 35 Since golf carts are vehicles propelled otherwise than by muscular power, it was therefore considered a vehicle within the definition of the CAIA/HTA. Had the golf cart been driven off a highway when the accident occurred, it clearly would not have been required to be insured (due to the fact golf carts are specifically exempted from the ORMVA). The golf cart, however, was being operated on a highway. Therefore, it was required to be insured by the CAIA and therefore, met the definition of an automobile in section 224(1) of the Insurance Act. Counsel for the Fund countered this argument with the fact that there are no insurers in Ontario that will underwrite policies of insurance covering golf carts. Director s Delegate Evans dismissed this argument, holding that Conclusion the issue is not whether a policy could have been in place, but whether the law says it should have been in place. The CAIA says that a motor vehicle on a highway is supposed to have automobile insurance. 36 Unless a motor vehicle is found to be an automobile, then the incident will not be considered an accident within the meaning of section 2(1) of the SABS. While the courts could benefit from clear legislative direction regarding what constitutes an automobile, the common law, along with section 224(1) of the Insurance Act, continues to fill the void. Until then, the statutory accident benefits regime will continue to be stretched by those injured by the Genie Boom Crane equivalents of Ontario. With the byzantine nature of Ontario s insurance regime becoming ever more cumbersome, perhaps even a tomato cart could entitle someone to accident benefits. 35 Section 268(2) of the Insurance Act states who is liable to pay accident benefits. If no insurer is liable, occupants and non-occupants alike have recourse to the Motor Vehicle Accident Claims Fund. 36 Buckle, supra note 19 at para. 39.